| NPI | 1912797952 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 224Z00000X Occupational Therapy Assistant (Licence: AZ Ota047105) |
| Additional Taxonomies | 224Z00000X Occupational Therapy Assistant (Licence: AZ OTA-047105) |
| Enumeration Date | 2025-05-12 |
| Last Update Date | 2025-05-12 |